Hrvatska Narodna Banka

FORM OS-IO

INSURANCE TRANSACTIONS OF NON-RESIDENTS WITH CROATIAN RESIDENTS

NAME OF INSTITUTION : ______

IDENTIFICATION NO.: ______

ADDRESS: ______

Insurance services provided to residents by foreign insurance companies

- in HRK 000 Month: 1. Non-life insurance 1.1. Gross premiums charged 1.2. Gross amount of settled claims 2. Life assurance 2.1. Gross premiums charged 2.2. Gross amount of settled claims 3. Auxiliary services 3.1. Auxiliary services provided 3.2. Auxiliary services received

______

CONTACT PERSON: FORM COMPLETED BY:

Name: ______Name : ______

Function: ______Place and Date : ______

Telephone: ______Facsimile ______Stamp and Signature:______FORM OS-IO

INSTRUCTIONS FOR COMPLETION

Under Month, enter a four-digit code for the relevant month and year, e.g. for February 2004, enter code 0204.

Under position 1.1 Gross premiums charged, enter the amount of gross premiums charged for non-life insurance to Croatian residents by non-resident insurance companies. Under position 1.2 Gross amount of settled claims, enter the amount of claims by Croatian residents on non-resident insurers under non-life insurance policies. Under position 2.1 Gross premiums charged, enter the amount of gross premiums charged for life assurance to Croatian residents by non-resident insurance companies. Under position 2.2 Gross amount of settled claims, enter the amount of claims by Croatian residents on non-resident insurers under life assurance policies.

Auxiliary services comprise insurance brokerage and agency services provided by insurance brokers and agents and agency services which are auxiliary to insurance, such as consultancy and actuary services, risk assessment and claim settlement services, etc. Under position 3.1 Auxiliary services provided, enter the amount of income earned by Croatian residents (shipping companies, shipyards, intermediaries, etc.) from the provision of auxiliary services to non-residents. This position also comprises the commission earned by domestic intermediaries from non-resident insurance and reinsurance companies for the provision of insurance and reinsurance services. Under position 3.2 Auxiliary services received, enter the amount charged by non-residents (shipping companies, shipyards, intermediaries, etc) for auxiliary services provided to Croatian residents. FORM OS-IO

INSURANCE TRANSACTIONS OF NON-RESIDENTS WITH CROATIAN RESIDENTS

This questionnaire is designed to collect information on insurance and reinsurance services provided by foreign insurance companies to Croatian residents. Information is collected on a quarterly basis, exclusively for the purpose of compilation of the position Insurance and other associated positions in the Balance of Payments of the Republic of Croatia as well as for the compilation of the international investment position.

Before completing the form, please read carefully the Methodological Notes given below in the text and the instructions for the completion of individual positions, given at the end of the questionnaire. All queries in connection with this questionnaire should be addressed to: Ms. Davorka Davosir Pongrac Croatian National Bank Statistics Department 10 000 Zagreb p. p. 603 phone: 01/45 64 787 fascimile: 01/45 50 854

METHODOLOGICAL NOTES

(1) The term resident is taken to mean: - legal persons with a registered office in the Republic of Croatia, except their foreign branches, - branches of foreign companies and sole traders enrolled in the register kept with the competent body of government authority or administration in the Republic of Croatia, - sole traders, craftsmen and other natural persons with a registered office or residence in the Republic of Croatia independently pursuing an economic activity of their registration, - natural persons resident in the Republic of Croatia, - natural persons staying in the Republic of Croatia on the basis of a valid residence permit of not less than 12 months, - diplomatic, consular and other representative offices of the Republic of Croatia abroad which are financed from the budget including Croatian citizens working in such representative offices and members of their families. (2) All other persons not listed under (1) are considered non-residents.

Information provided has to be expressed in thousands of kuna, while the amounts charged in foreign currency have to be converted into kuna, using the applicable exchange rate (in case of non-convertible currencies, the market rate for the US dollar (USD) has to be used, and the amount thus obtained then converted into kuna).

Data should be shown as at the moment of the provision of service (invoicing) and not at the moment of payment, separately for each month of the reporting quarter. For that three columns, one for each month, have been provided for each position in the questionnaire. Separation by months is important for the purposes of compilation of the Balance of Payments of the Republic of Croatia on a monthly basis.